Provider Demographics
NPI:1225150584
Name:SEIF, MARTIN N (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:N
Last Name:SEIF
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 RIVER RD
Mailing Address - Street 2:UNIT 113
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2754
Mailing Address - Country:US
Mailing Address - Phone:914-907-8023
Mailing Address - Fax:
Practice Address - Street 1:211 W 56TH ST
Practice Address - Street 2:SUITE 8J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4312
Practice Address - Country:US
Practice Address - Phone:212-586-0434
Practice Address - Fax:203-629-1212
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5457103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV52861Medicare ID - Type Unspecified